Optimizing Engagement in Services for First-Episode Psychosis

This study will compare a 12-session behavioral activation (BA) intervention modified for first-episode psychosis (FEP) to usual community mental health care (i.e., treatment-as-usual; TAU) delivered over 6 months with a sample of Latinos with FEP and their families. Comparable family group sessions will also be delivered to participants in both conditions. It is expected that BA participants will show better engagement than TAU participants.

Inclusion Criteria: * Self-identification as Latino * Age 15 to 35 * Diagnostic \& Statistical Manual of Mental Disorders-5 diagnosis of schizophrenia, schizoaffective disorder, schizophreniform disorder, brief psychotic disorder, other specified schizophrenia spectrum, affective psychosis, and other psychotic disorder criteria * Ability to speak English or Spanish * Caregiver willing to consent to participate in the study and care * Ability to provide fully informed consent Exclusion Criteria: * Diagnosis of psychotic disorder due to another medical condition or substance/medication-induced psychotic disorder * Presence of a serious medical condition * 3≤ years after the onset